Individual
RUDY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4107 ACORN LN, PORTER, TX 77365-9611
(281) 608-7600
Mailing address
5706 GOLDEN GROVE LN, SPRING, TX 77373-7226
(832) 715-6651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9647
TX
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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